Healthsource of Vermilion, INC

NPI #1174856710 in Vermilion, Ohio

Provider Information

NPI Number: 1174856710
Entity Type: Organization
Organization Name: Healthsource of Vermilion, INC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 15, 2009
Last Updated: Sep 15, 2009

Practice Location

Address: 4365 LIBERTY AVE
Address 2: SUITE 100
City: Vermilion
State: Ohio
ZIP Code: 44089-2133
Phone: (440) 967-4226

Authorized Official

Name: CARON KREICHER
Title: CEO
Phone: (440) 967-4226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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